Individual
MRS. CHRISTINE COLOSON BOHACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSPED
Contact information
Practice address
7480 N BAYVIEW RD, SOUTHOLD, NY 11971-4006
(631) 765-8326
(631) 765-8326
Mailing address
7480 N BAYVIEW RD, SOUTHOLD, NY 11971-4006
(631) 765-8326
(631) 765-5036
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
08038349
NY
Other
Enumeration date
02/06/2007
Last updated
01/25/2011
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